Evidence map›Paper›PMID 36136573›Full record

ArticleToxins2022

A Uremic Pig Model for Peritoneal Dialysis.

Joost C de Vries, Maaike K van Gelder, Anneke S Monninkhof, Sabbir Ahmed, Diënty H M Hazenbrink, Tri Q Nguyen, Gèrard A P de Kort, Evert-Jan P A Vonken, Koen R D Vaessen, Jaap A Joles and 2 more

Open access · goldAbstract read
In one paragraph

Article in Toxins, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. A minimally invasive swine model of chronic kidney disease-associated heart failure.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Joost C de VriesDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.
Maaike K van GelderDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.
Anneke S MonninkhofDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.
Sabbir AhmedDepartment of Pharmaceutical Sciences, Utrecht University, 3584 CG Utrecht, The Netherlands.
Diënty H M HazenbrinkDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.
Tri Q NguyenDepartment of Pathology, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0001-6475-0706
Gèrard A P de KortDepartment of Radiology, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.
Evert-Jan P A VonkenDepartment of Radiology, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0003-0982-0323
Koen R D VaessenCentral Laboratory Animal Research Facility, Utrecht University, 3584 CJ Utrecht, The Netherlands.ORCID 0000-0002-0916-8075
Jaap A JolesDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0003-2565-242X
Marianne C VerhaarDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0002-3276-6428
Karin G F GerritsenDepartment of Nephrology and Hypertension, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0002-1917-6255
University Medical Center Utrecht · NLUtrecht University · NL

Funding

Marie Curie 813839
6 · The paper itself

Abstract

With increasing interest in home dialysis, there is a need for a translational uremic large animal model to evaluate technical innovations in peritoneal dialysis (PD). To this end, we developed a porcine model with kidney failure. Stable chronic kidney injury was induced by bilateral subtotal renal artery embolization. Before applying PD, temporary aggravation of uremia was induced by administration of gentamicin (10 mg/kg i.v. twice daily for 7 days), to obtain uremic solute levels within the range of those of dialysis patients. Peritoneal transport was assessed using a standard peritoneal permeability assessment (SPA). After embolization, urea and creatinine concentrations transiently increased from 1.6 ± 0.3 to 7.5 ± 1.2 mM and from 103 ± 14 to 338 ± 67 µM, respectively, followed by stabilization within 1-2 weeks to 2.5 ± 1.1 mM and 174 ± 28 µM, respectively. Gentamicin induced temporary acute-on-chronic kidney injury with peak urea and creatinine concentrations of 16.7 ± 5.3 mM and 932 ± 470 µM respectively. PD was successfully applied, although frequently complicated by peritonitis. SPA showed a low transport status (D/P creatinine at 4 h of 0.41 (0.36-0.53)) with a mass transfer area coefficient of 9.6 ± 3.1, 4.6 ± 2.6, 3.4 ± 2.3 mL/min for urea, creatinine, and phosphate respectively. In conclusion, this porcine model with on-demand aggravation of uremia is suitable for PD albeit with peritoneal transport characterized by a low transport status.

Indexed as

Peritoneal DialysisUremiaAnimalsCreatinineDialysis SolutionsGentamicinsPhosphatesSwineUreaCreatinineDialysis SolutionsGentamicinsPhosphatesUreaanimal modelkidney failuremass transfer area coefficientperitoneal dialysisstandard peritoneal permeability assessment

Identifiers

PMID36136573
PMCPMC9503030
OpenAlexW4296101841

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.